Individual provider Active NPI

Judi De'Landa Brown-Brown, NP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1386265015
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R168850 Issued in MD
Practice address
1501 Division St
Baltimore, MD 21217-3121
Phone
(410) 383-8300
Fax
(410) 383-3160
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care Inc 57 clinicians

Practice addresses (Care Compare)

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

4709 Harford Rd
Baltimore, MD 21214-3205
Phone (443) 735-5702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210323000029 MD Practitioner - Nurse Practitioner 4587071352 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R168850MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SBB Fit 4 Life LLC CurrentSince Aug 22, 2024 Accepting new patients
Total Health Care Inc Current Accepting new patients
Total Health Care Inc CurrentSince Apr 1, 2021 Accepting new patients
Total Health Care Inc. CurrentSince Apr 1, 2021 Accepting new patients
Total Health Care Inc Past Accepting new patients

Locations

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

4709 Harford Rd
Baltimore, MD 21214
Phone (443) 735-5702

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD
  • Direct secure messaging: judi.brown-brown@898218937614340.direct.elationemr.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R168850 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

1501 Division St
Baltimore, MD 21217-3121

Mailing address

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2021.

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1386265015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DIVISION ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212173121",
            "telephone_number": "410-383-8300",
            "fax_number": "410-383-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BROWN",
        "first_name": "JUDI",
        "middle_name": "DE'LANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R168850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.